Department of Radiology, Hanoi Medical University, Hanoi, Vietnam.
Department of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam.
Curr Med Imaging. 2021;17(5):648-652. doi: 10.2174/1573405616666201118142317.
Neurocysticercosis (NCC), a major contributor to the burden of seizure disorders and epilepsy in the world, is one of the most common parasitic infections of the central nervous system, which is usually located in the brain. Medical therapy for NCC should initially cover appropriate symptom control and then the use of antiparasitic agents should be considered. Antiparasitic treatment is of benefit in most cases of viable and degenerating NCC. Nevertheless, cysticercosis of the spinal cord is very uncommon.
In this article, we recorded 5 cases of extramedullary-intradural lumbar spinal cysticercosis, in which one case displayed cystic lesions in both brain and spine, one case showed an independent cystic lesion in the spine, and three remaining cases showed diffuse lesions in the spinal canal.
Thus, in any case of single or numerous cystic lesions or dispersed lesions entering the spinal canal, spinal cysticercosis should be considered.
神经囊尾蚴病（NCC）是世界上导致癫痫发作障碍和癫痫负担的主要原因之一，是最常见的中枢神经系统寄生虫感染之一，通常位于大脑中。NCC 的初始治疗应包括适当的症状控制，然后再考虑使用抗寄生虫药物。在大多数有活力和退化的 NCC 病例中，抗寄生虫治疗都有益处。然而，脊髓囊尾蚴病非常罕见。
本文记录了 5 例脊髓外硬脊膜内腰椎囊尾蚴病，其中 1 例同时有脑部和脊椎的囊状病变，1 例仅在脊椎上有独立的囊状病变，其余 3 例表现为椎管内弥漫性病变。
因此，对于任何单发或多发囊性病变或进入椎管的弥散性病变，都应考虑脊髓囊尾蚴病。
